MARY E. BRADDOCK MD – NPI #1730189226
Pediatrics

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

MARY BRADDOCK is a physician located in SAINT PAUL, MN. NPPES has assigned the NPI number 1730189226 to MARY BRADDOCK on July 26, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208000000X from the Health Care Provider Taxonomy code set, which is classified as Pediatrics.

The NPI profile was previously updated about 19 years ago on Jul 08, 2007. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MARY BRADDOCK below.

NPI Profile for
MARY E. BRADDOCK

NPI Number
1730189226
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
MARY E. BRADDOCK
Credentials
MD
Primary location
347 SMITH AVE N
SAINT PAUL, MN 55102-2387
Phone: (651) 220-6789 Fax: (651) 220-6807
Mailing address
2910 CENTRE POINTE DR
ROSEVILLE, MN 55113-1182
Phone: (651) 855-2327 Fax: (651) 855-2310
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208000000X
- Pediatrics (Primary)
MN 35350

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.